Provider Demographics
NPI:1497592539
Name:HOSPICE OF NEBRASKA LLC
Entity type:Organization
Organization Name:HOSPICE OF NEBRASKA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-498-3541
Mailing Address - Street 1:5640 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4471
Mailing Address - Country:US
Mailing Address - Phone:402-875-5098
Mailing Address - Fax:402-875-5093
Practice Address - Street 1:5640 S 84TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4471
Practice Address - Country:US
Practice Address - Phone:402-875-5098
Practice Address - Fax:402-875-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based